Bourbon Family Dre PLLC
NPI 1659133866ActiveOrganization· Dentist, General Practice· Paris, KY
Dentist, General Practice in Paris, Kentucky, registered in NPPES in January 2024. The authorized official on file is Elizabeth Davis, Director Of Revenue.
Overview
| NPI | 1659133866 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2024 |
| Last updated in NPPES | Jan 24, 2024 |
| Certified by provider | Jan 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, General Practice providers in Paris
- 1588721344
- 1396801395
- 1396020301
- 1417244401
- 1235200205
- 1790477123
- 1104274497
- 1497863757
- 1407977283
- 1689750945
- 1396438172
- 1194130351